Use of second-generation platelet concentrate (platelet-rich fibrin) and hydroxyapatite in the management of large periapical inflammatory lesion: A computed tomography scan analysis

Periapical surgery is required when periradicular pathosis associated with endodontically treated teeth cannot be resolved by nonsurgical root canal therapy (retreatment), or when retreatment was unsuccessful, not feasible or contraindicated. Endodontic failures can occur when irritants remain withi...

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Main Authors: Hemalatha Hiremath, Tejas Motiwala, Pradeep Jain, Sadanand Kulkarni
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Indian Journal of Dental Research
Subjects:
Online Access:http://www.ijdr.in/article.asp?issn=0970-9290;year=2014;volume=25;issue=4;spage=517;epage=520;aulast=Hiremath
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spelling doaj-2289e1c34595487c9ee22be20ce82fd02020-11-25T00:38:12ZengWolters Kluwer Medknow PublicationsIndian Journal of Dental Research0970-92901998-36032014-01-0125451752010.4103/0970-9290.142556Use of second-generation platelet concentrate (platelet-rich fibrin) and hydroxyapatite in the management of large periapical inflammatory lesion: A computed tomography scan analysisHemalatha HiremathTejas MotiwalaPradeep JainSadanand KulkarniPeriapical surgery is required when periradicular pathosis associated with endodontically treated teeth cannot be resolved by nonsurgical root canal therapy (retreatment), or when retreatment was unsuccessful, not feasible or contraindicated. Endodontic failures can occur when irritants remain within the confines of the root canal, or when an extraradicular infection cannot be eradicated by orthograde root canal treatment. Foreign-body responses toward filling materials, toward cholesterol crystals or radicular cysts, might prevent complete periapical healing. We present here a case report wherein, combination of platelet-rich fibrin (PRF) and the hydroxyapatite graft was used to achieve faster healing of the large periapical lesion. Healing was observed within 8 months, which were confirmed by computed tomography, following improved bone density. PRF has many advantages over platelet-rich plasma. It provides a physiologic architecture that is very favorable to the healing process, which is obtained due to the slow polymerization process.http://www.ijdr.in/article.asp?issn=0970-9290;year=2014;volume=25;issue=4;spage=517;epage=520;aulast=HiremathComputed tomographyhydroxyapatiteplatelet-rich fibrinperiapical lesion
collection DOAJ
language English
format Article
sources DOAJ
author Hemalatha Hiremath
Tejas Motiwala
Pradeep Jain
Sadanand Kulkarni
spellingShingle Hemalatha Hiremath
Tejas Motiwala
Pradeep Jain
Sadanand Kulkarni
Use of second-generation platelet concentrate (platelet-rich fibrin) and hydroxyapatite in the management of large periapical inflammatory lesion: A computed tomography scan analysis
Indian Journal of Dental Research
Computed tomography
hydroxyapatite
platelet-rich fibrin
periapical lesion
author_facet Hemalatha Hiremath
Tejas Motiwala
Pradeep Jain
Sadanand Kulkarni
author_sort Hemalatha Hiremath
title Use of second-generation platelet concentrate (platelet-rich fibrin) and hydroxyapatite in the management of large periapical inflammatory lesion: A computed tomography scan analysis
title_short Use of second-generation platelet concentrate (platelet-rich fibrin) and hydroxyapatite in the management of large periapical inflammatory lesion: A computed tomography scan analysis
title_full Use of second-generation platelet concentrate (platelet-rich fibrin) and hydroxyapatite in the management of large periapical inflammatory lesion: A computed tomography scan analysis
title_fullStr Use of second-generation platelet concentrate (platelet-rich fibrin) and hydroxyapatite in the management of large periapical inflammatory lesion: A computed tomography scan analysis
title_full_unstemmed Use of second-generation platelet concentrate (platelet-rich fibrin) and hydroxyapatite in the management of large periapical inflammatory lesion: A computed tomography scan analysis
title_sort use of second-generation platelet concentrate (platelet-rich fibrin) and hydroxyapatite in the management of large periapical inflammatory lesion: a computed tomography scan analysis
publisher Wolters Kluwer Medknow Publications
series Indian Journal of Dental Research
issn 0970-9290
1998-3603
publishDate 2014-01-01
description Periapical surgery is required when periradicular pathosis associated with endodontically treated teeth cannot be resolved by nonsurgical root canal therapy (retreatment), or when retreatment was unsuccessful, not feasible or contraindicated. Endodontic failures can occur when irritants remain within the confines of the root canal, or when an extraradicular infection cannot be eradicated by orthograde root canal treatment. Foreign-body responses toward filling materials, toward cholesterol crystals or radicular cysts, might prevent complete periapical healing. We present here a case report wherein, combination of platelet-rich fibrin (PRF) and the hydroxyapatite graft was used to achieve faster healing of the large periapical lesion. Healing was observed within 8 months, which were confirmed by computed tomography, following improved bone density. PRF has many advantages over platelet-rich plasma. It provides a physiologic architecture that is very favorable to the healing process, which is obtained due to the slow polymerization process.
topic Computed tomography
hydroxyapatite
platelet-rich fibrin
periapical lesion
url http://www.ijdr.in/article.asp?issn=0970-9290;year=2014;volume=25;issue=4;spage=517;epage=520;aulast=Hiremath
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